Active NPI
Stephanie Makow, LSW
- Social Worker
- Forked River, NJ
National Provider Identifier
1174958219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05910300
- Practice address
- 615 Lacey Rd
Suite 3
Forked River, NJ 08731-2200 - Phone
- (609) 242-3322
- NPI assigned
- Sep 9, 2013
- Last updated
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05910300 | NJ | Primary |
| School Social Worker | 1041S0200X | 902412 | NJ |
Addresses
Primary practice location
615 Lacey Rd
Suite 3
Forked River, NJ 08731-2200
Mailing address
615 Lacey Rd
Suite 3
Forked River, NJ 08731-2200
Phone (609) 242-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05910300 | NJ | MD | Social Worker |
| 902412 | NJ | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xanadu Behavior Therapy | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1174958219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 LACEY RD",
"address_2": "SUITE 3",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087312200",
"telephone_number": "609-242-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 LACEY RD",
"address_2": "SUITE 3",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087312200",
"telephone_number": "609-242-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKOW",
"first_name": "STEPHANIE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05910300",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NJ",
"license": "902412",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.